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SU0005732
Environmental Health - Public
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2600 - Land Use Program
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SU0005732
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Last modified
5/7/2020 11:31:43 AM
Creation date
9/4/2019 6:39:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0005732
PE
2626
FACILITY_NAME
PA-0500714
STREET_NUMBER
23073
Direction
S
STREET_NAME
FREDERICK
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
22813021
ENTERED_DATE
10/26/2005 12:00:00 AM
SITE_LOCATION
23073 S FREDERICK RD
RECEIVED_DATE
10/26/2005 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\F\FREDERICK\23073\PA-0500714\SU0005732\APPL.PDF \MIGRATIONS\F\FREDERICK\23073\PA-0500714\SU0005732\CDD OK.PDF \MIGRATIONS\F\FREDERICK\23073\PA-0500714\SU0005732\EH COND.PDF \MIGRATIONS\F\FREDERICK\23073\PA-0500714\SU0005732\EH PERM.PDF
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EHD - Public
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NOTE: PULL AL,ERMITS (Septic, Well, etc.) MAKtpPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005732 <br /> DATE RECEIVED by EHD: October 26,2005 APPL#: PA-0500714 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2626 <br /> USE PERMIT-GENERAL(UP) <br /> COMPLETE&SUBMIT BY: Wed, November 9, 2005 <br /> Assigned to : EE0004000 VAN DYNE <br /> SITE ADDRESS: 23073 S FREDERICK RD,RIPON APN : 22813021 <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit(i.e., sewage disposal, water <br /> supplies, etc...). Where necessary, on an attached piece of plain paper, draw complete map of area showing population <br /> density, location of house,wind direction, etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: 42 <br /> 07 )&VISEd <br /> I recommend: Approval yf o Denial Continuance Inspector: � , <br /> SSignature <br /> Supervisor/Lead Senior COMMENTS: <br /> B _ ' <br /> M <br /> d d <br /> (l <br /> Y/ 1 <br /> _ V <br /> SUP[>IiVISOR / LEAD SENIOR Approval: Date: <br /> OA d Check Off List: Proofread Report? Correc <br /> Correct CONDITION(S)? I ol"gcd w I;� <br /> EH 06 06 Report#7201 October 27,2005 <br />
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